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Thread: Colonoscopy with tatooing of colonic lesion

  1. #1
    Join Date
    Apr 2007
    Northeast Kansas AAPC

    Default Colonoscopy with tatooing of colonic lesion

    AAPC: Back to School
    Medicare patient is sent to us after having undergone a colonoscopy by another physician who found a lesion but did not tatoo it at that time. Patient now presents for repeat colonoscopy to tatoo prior to colon resection being done by my physician. Do I just charge a regular colonoscopy or is there something else I should be doing? I was looking at 45381 but didn't know since he's Medicare if I can charge for it. ?? any modifier that I might need too.


  2. #2
    Join Date
    Apr 2007

    Default re:colonoscopy tattooing

    Look at skin codes 11920-11922 for the tattooing.

  3. #3
    Join Date
    Apr 2007


    If he truly does a complete colonoscopy and tattooing I would charge the 45381. If it is just a sigmoidoscopy with tattooing then I would use 45335. Hope this helps!
    Susie Corrado, CPC
    ENT Coding/Billing

  4. #4

    Default tatooing during colonoscopy

    I would use 45381
    Mary Jo Russman, CPC, CGIC
    Cleveland Clinic

  5. #5


    Quote Originally Posted by danastiff View Post
    Look at skin codes 11920-11922 for the tattooing.
    As you say, these are 'skin codes' and should only be used on the skin.

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